Individual provider Active NPI

Gregory John Hayes, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1598896102
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10952T Issued in CA
Practice address
11717 Bernardo Plaza CT
Suite 150
San Diego, CA 92128-2412
Phone
(858) 487-5504
Fax
(858) 487-3654
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10952T CA Primary

Addresses

Primary practice location

11717 Bernardo Plaza CT
Suite 150
San Diego, CA 92128-2412

Mailing address

11717 Bernardo Plaza CT
San Diego, CA 92128-2412
Phone (858) 487-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000195 CA Practitioner - Optometry 6709830367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

11717 Bernardo Plaza CT
Suite 105
San Diego, CA 92128-2419
Phone (858) 487-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10952TCAMDOptometrist
10952CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Apr 22, 2019 Accepting new patients

Locations

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420

5965 Village Way
Ste 105
San Diego, CA 92130

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

5990 Santo Rd
San Diego, CA 92124
Phone (858) 345-5352

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1598896102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 BERNARDO PLAZA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282412",
            "telephone_number": "858-487-5504",
            "fax_number": "858-487-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 BERNARDO PLAZA CT",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282412",
            "telephone_number": "858-487-5504",
            "fax_number": "858-487-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10952T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.